October Edition 2014 SPOKANE DISTRICT DENTAL SOCIETY N E W S L E T T E R Telephone: 509-838-0436 Fax: 509-838-5040 Email: [email protected]spokanedentalsociety.org - indc-spokane.com 2014-2015 Officers President—Jonathan Judd President-Elect— Lisa Ellingsen Secretary/Treasurer— Jeff Henneberg Past-President—Jared Evans EXECUTIVE COUNCIL Steven Aeschliman 2015 Neal Curtis 2015 Kimberly Craven 2015 Debra Craig 2016 Spencer Sautter 2016 Randy Stephens 2016 Nicholas Velis 2017 William Petersen 2017 Elizabeth Warder 2017 ALTERNATES 1st Jacob DaBell 2nd Michelle Dullanty * * * * * * * * * * * * * * SDDS Foundation Officers President—Amir Ganji Treasurer—Brandy Richey Past President—Mark Paxton Board Members Brooke Cloninger Susan Kohls David Gailey John Wesley Nick Velis Erin Johnson Stephen Woodard IDEA Clinic Dental Director Dr. Ashley Ulmer www.sddsfoundation.org President’s Message I hope everyone is doing well now that the kids are back to school and hopefully the back-to-school craziness has settled down. Having re- turned from the WSDA House Of Delegates recently, I thought I would take some time in this newsletter to update you all on some key reso- lutions that came before the House. It is always interesting to see our legislative process at work and see our association and its members work to improve and advance our profession in this ever-evolving po- litical climate. 1.) HD-8A-2104: Legislative Agenda for 2015: several parts to this resolution but main points are WSDA supports state revenue policies that are fair to dentistry and oppose tax and fee increases that nega- tively affect dentistry; preservation/extension of funding to dental med- icaid, residency programs, federally qualified health centers, loan re- payment programs and other funding initiatives which reduce access- to-care barriers; maintaining opposition to work force bills that create mid-level providers; opposing legislation that changes the definition of dentistry. Resolution passed. 2.) HD-8B-2014: Legislative Agenda for 2015; WSDA will be guided by some core principles while taking into account the current political climate when determining our legislative position; it will be guided by 1. what is in the public’s best interest, 2. protects the diagnostic au- thority of the dentist, 3. cost-effective for the public, 4. cost-effective for the dentist, 5. addresses those in need of dental services while providing adequate reimbursement to the dentists, 6. maintains the integrity of the dental delivery system, 7. maintains that only a dentist can provide irreversible procedures within the scope of their practice. Resolution passed. 3.) HD-10-2014: Dental Hygiene Board; Dental hygienists are seeking to have their own independent board for regulation. Currently in the state of Washington, dental hygienists are regulated by the Depart- ment of Health. In most states, hygienists are regulated by the dental board and subsequently have hygienists that sit on the board. WSDA is supporting legislation to merge hygienists onto the dental board and expand the Dental Quality Assurance Commission(DQAC) to include hygienist members but is not in favor of creating an independent hy- giene board. Resolution passed. 4.) HD-12-2014: Ethics/Jurisprudence; Resolution to require 2 hours of continuing education every 3 years in Ethics/Jurisprudence. This resolution passed and will be referred to DQAC for consideration. Continued on next page
Transcript
October
Edition
2014
SPOKANE DISTRICT DENTAL SOCIETY
N E W S L E T T E R Telephone: 509-838-0436 Fax: 509-838-5040
I hope everyone is doing well now that the kids are back to school and hopefully the back-to-school craziness has settled down. Having re-turned from the WSDA House Of Delegates recently, I thought I would take some time in this newsletter to update you all on some key reso-lutions that came before the House. It is always interesting to see our legislative process at work and see our association and its members work to improve and advance our profession in this ever-evolving po-litical climate. 1.) HD-8A-2104: Legislative Agenda for 2015: several parts to this resolution but main points are WSDA supports state revenue policies that are fair to dentistry and oppose tax and fee increases that nega-tively affect dentistry; preservation/extension of funding to dental med-icaid, residency programs, federally qualified health centers, loan re-payment programs and other funding initiatives which reduce access-to-care barriers; maintaining opposition to work force bills that create mid-level providers; opposing legislation that changes the definition of dentistry. Resolution passed. 2.) HD-8B-2014: Legislative Agenda for 2015; WSDA will be guided by some core principles while taking into account the current political climate when determining our legislative position; it will be guided by 1. what is in the public’s best interest, 2. protects the diagnostic au-thority of the dentist, 3. cost-effective for the public, 4. cost-effective for the dentist, 5. addresses those in need of dental services while providing adequate reimbursement to the dentists, 6. maintains the integrity of the dental delivery system, 7. maintains that only a dentist can provide irreversible procedures within the scope of their practice. Resolution passed. 3.) HD-10-2014: Dental Hygiene Board; Dental hygienists are seeking to have their own independent board for regulation. Currently in the state of Washington, dental hygienists are regulated by the Depart-ment of Health. In most states, hygienists are regulated by the dental board and subsequently have hygienists that sit on the board. WSDA is supporting legislation to merge hygienists onto the dental board and expand the Dental Quality Assurance Commission(DQAC) to include hygienist members but is not in favor of creating an independent hy-giene board. Resolution passed. 4.) HD-12-2014: Ethics/Jurisprudence; Resolution to require 2 hours of continuing education every 3 years in Ethics/Jurisprudence. This resolution passed and will be referred to DQAC for consideration.
Continued on next page
~ANNOUNCEMENTS~
WELCOME
NEW SDDS MEMBERS
Randal Henneberg, DDS, General
15701 E Sprague Ave Suite F
509.924.0055
Heather Moore, DDS, General
101 W Cascade Way, Spokane
509.466.2499
Ryan Bate, DDS, General
309 W Crawford St., Deer Park
509..276.6996
Teeth Week
We are partnering with the Washington State Dental
Association, Washington Dental Service Foundation
and Empire Health Foundation to bring Teeth Week
to Spokane October 18-24!
We need your help!
We are looking for members and their staff to con-
duct a short presentation at area schools. These
presentations will include the importance of oral
health care, brushing, tobacco prevention, etc. All
materials and hygiene kits will be provided for you.
5.) HD-13-2014: Dental License Renewal Regulations Change; Currently, dentists in the state are re-quired to renew their dental license by their birthday. If licenses are not renewed on time, in addition to practicing dentistry without a license, insurances companies do not have to pay claims during the period when the licensed lapsed. And they are enforcing this. WSDA is proposing legislation that would allow for a grace period for renewal. One option is to have the Department of Health send a certified letter when the license is not renewed by the renewal date and add a 50% fee in addition to the fee for the year as well as allow for a 30-day grace period for renewal. This would also generate more revenue for the state. After a long discussion on the floor of the House, it was recommended that the resolution be re-ferred back to the WSDA Board of Directors for further discussion. One further point on the issue of license renewal: dental malpractice carriers are also looking at this as well. If your license lapses then you may not likely be cov-ered for any claims during this period. 6.) HD-17-2014: Definition of Dentistry; Defines scope of practice for dentistry. This is important as it will be used as a basis against the corporate practice of dentistry, maintaing that only a dentist(s) can own and operate a dental practice(s). There were several more resolutions but these were the main ones that were at the core of the profession. It was not my intention to overload you with too much information but I feel it is important for our members to understand where we are as a profession and the challenges that we continue to face. I hope to see everyone at our October 14th General Membership meeting at the Lincoln Center. We will be hosting our candidates for state office and it will be a great opportunity to learn who they are if you do not already know them and ask them some questions that are pertinent to our profession. Thank you again for your commitment to our great profession. Yours in Dentistry, Jonathan Judd, DDS
SDDS General Membership Meeting
TUESDAY, October 14 @ 6:00pm
The Lincoln Center - 1316 N Lincoln Street, Spokane, 99201
~ Program ~
Our October general membership meeting is designed for SDDS members to meet our representatives, local
elected officials and their challengers.
Confirmed attendees as of October 2, 2014:
Donald Dover, 6th District Position 1
Matt Shea, 4th District Position 2
Josh Arritola, 4th District Position 2
Diana Wilhite, 4th District Position 1
Senator Mike Baumgartner, 6th District Senate
Bob McCaslin, 4th District Position 1
Tim Benn, 3rd District Position 1 ______________________________________________________________________________________________________
Please note the SDDS has to guarantee and pay for all reservations. If you cannot attend, please be prepared to honor and pay for any reservations NOT CANCELLED in advance. Thank you.
Please detach reservation form and return with check or credit card number to:
Spokane District Dental Society — 23403 E Mission Ave, Suite 218, Liberty Lake, WA 99019 or
NAME ________________________________________________________________________________________________
Visa/Mastercard________________________________________Exp. Date_____________ Billing Zip Code ___________
*** Please note: For your protection, SDDS does NOT keep credit cards on file. Please complete
this form, if using a credit card.***
Buffet Dinner: $35 (Includes service charge and sales tax)
No charge if attending meeting without dinner
General Membership Meetings
Lincoln Center
5:30pm Social, 6:00 Dinner, CE & Society Business October 14: Meeting with State Legislators and Local Elected Officials. November 11: Malpractice, DQAC Complaints, Christopher Kerley, Attorney with Evans, Craven and Lackie
January 13: "Crash Testing Your Retirement", Brad Desormeau and Travis Prewitt, The Prewitt Group, UBS Financial Services
March 10: Odontogenic Sinusitis, Dr. Al Pokorny(Spokane ENT) and Dr. Rod Tataryn
April 14: SDDS Elections, Update on Bisphosphonate/Medication-Associated Osteonecrosis of the Jaw (BRONJ/MRONJ), Dr. Nicholas Freuen.
May 12: WSDA Visitation
Executive Council Meetings
Luigi’s Restaurant, 6:00pm
Open to ALL members
September 23 December - No Mtg. March 24
October 28 January 27 April 28
November 25 February 24 May 26
April 16 - 18, 2015 Inland Northwest Dental Conference | www.indc-spokane.com Continuing Education for the entire dental team! A few of our amazing speakers include: Dr. Joel Berg, Dr. Ron Jackson, Dr. Mark Donaldson, Dr. Jason Goodchild, Sarah Jackson, RDH, Sherry Blair, Phyllis Martina, RDH, Dr. Rob Veis and many, many more plus a surprise speaker!! FRIDAY, APRIL 17, 2015 SDDS FOUNDATION GALA Northern Quest Resort
SAVE THE DATE!!
APRIL 16 – 18, 2015
** New this year: Saturday courses and a surprise guest speaker!
Continuing Education for the ENTIRE dental team!
http://www.indc-spokane.com/
The Official Conference Program will be mailed to offices soon.
A few course titles include:
Complex Medical Patients and Dental Considerations (Cardiovascular Challenges) Relevant and Useful Pharmacology (Pharmacokinetics / Pharmacodynamics / Pharmacogenomics) The Keys to Successful, Predictable, and Efficient Direct Posterior Composite Restorations Interceptive Orthodontics: Early Treatment for Children Minor Tooth Movement for Adults POSTERIOR COMPOSITES: A Rapid, Simplified Placement Technique Esthetic Restorative Excellence with Inlays/Onlays Creating a Road Map to Health, Function, and Esthetics: The art and science of treatment planning,
case presentation, and achieving case acceptance! The Dental Emergency Kit and Medical Emergencies (Keeping Patients Safe) Practice Management Medicaid Billing Workshop Prevention & Treatment for the Wear & Tear on Oral Tissues Social Media Training Ten Things You Should Never Say To Patients Dealing with Change and Transitions and Giving Receiving Feedback Prevention vs. Prosecution HIPAA Infection Control 101: The Basics of Compliance, Creating a Culture of Safety in Your Practice Emergency Preparedness 101 Ergonomics Lawsuit Prevention and Tax Reduction BLS for the Healthcare Provider First Aid OSHA WISHA Compliance CDC Infection Control The Caries Management Continuum: Treating Caries as a Disease Going Green: Implications for the Dental Office Oral and Maxillofacial Surgery Blood Borne Pathogens Complex Medical Patients and Dental Considerations (Respiratory Challenges) Dentrix Workshop
A few great speakers include: Dr. Joel Berg, Dr. Rob Veis, Dr. Ron Jackson, Dr. Mark Donaldson, Sherry
Blair, Kandis Garland, Dianne Glasscoe Watterson and MANY MORE!!
On behalf of the Spokane District Dental Society Foundation Board, I invite you to participate in a very special event. The Spokane District Dental Society Foundation (SDDSF) will hold its fifth annual Gala at the Northern Quest Resort & Casino on Friday, April 17, 2015. We need your help to make it a success.
What can you do?
Please consider donating items which can be included in our live and silent auctions. Donations small and large are welcomed! A few great ideas include: themed gift baskets (wine, family fun night, spa, sports, etc.), tickets to sporting events, concerts and theme parks, golf vouchers, airline tickets, artwork, vacations, dinner gift certificates and services. NO donation is too small. The SDDSF is a 501(c)(3) non-profit organization. As such, your much needed donation is tax deductible! Monetary donations are always welcome and again, tax deductible.
How do you donate?
If you are able to contribute, please complete the attached form and send to:
The money we raise supports our many programs designed to promote improved oral health and increased opportunities for dental care to those in need throughout our community. The auction is one of our major sources of revenue each year, and helps to sustain and expand our programs and improve access to care.
Your support is truly needed—and appreciated—to make this benefit a success!
Sincerely,
Amir Ganji, DMD
President, Spokane District Dental Society Foundation
SPOKANE DISTRICT DENTAL SOCIETY FOUNDATION
P.O. BOX 4432 SPOKANE, WA 99220 www.sddsfoundation.org
Dentists must renew their licenses annually on or before their birthday. They are required to submit the appropriate fee and attest to completion of 21 hours of continuing education with each renewal cycle. Refer to WAC 246-817-440 and 246-12 (7) for more information. Please keep your address updated to receive courtesy renewal notices.
Avoid an expired license
Don't let your license expire. You must make sure we have your renewal before it expires. Otherwise, you won't be allowed to practice. A timely postmark on your renewal won't prevent an expired license. Renewals sent by mail take about two weeks to process.
How long will it take to process my renewal?
If you send it by mail it will take about two weeks to update. If you bring the payment to the front counter it will take about three to seven business days. This saves mail time and you will receive verification dur-ing the visit. If you complete your renewal online, the updated information will show on our provid-er/facility search.
Our goal is to process all renewals within seven business days after we receive them. This includes pay-ment and processing time.
How do I renew my credential without a renewal notice?
Courtesy renewal notices are not required for renewal. You may update your credential by mailing your renewal payment to us with documentation of your name, credential number, current mailing address and any other renewal requirements.
You may also contact our Customer Service Office or see your profession's webpage for current renewal fees and requirements.
How do I know what my expiration date is?
Your license lists the expiration date. It is your birthday. You may also look at our provider/facility search to see your expiration date.
Continuing Education
How many hours of continuing education do I need to renew my dental license?
Twenty-one hours annually. State law details continuing education requirements for dentists. (WAC 246-817-440)
Do I need to send copies of certificates of completion when I renew?
No. You must sign an affidavit of compliance annually. You will find the affidavit on the back of your an-nual renewal notice.
How long do I have to keep continuing education documentation?
You must keep your documentation for four years.
May I count continuing education hours I accumulate for other sources, (i.e. national certifica-
tion with specialty organizations, etc.) towards this requirement?
Yes, as long as the hours are within the appropriate reporting period.
How many continuing education hours may I get online or through correspondence?
Law indicates a maximum of seven hours in this category. (WAC 246-817-440 (c))
May I count continuing education hours from one year in the next year?
No. You may not carry over continuing education in excess of the required hours earned in a reporting peri-od to the next reporting cycle. (WAC 246-12-230)
If I administer sedation, am I required to take additional continuing education?
Yes. Continuing education requirements are in the rules associated with the specific level of sedation. You may find details below in the "Administration of Anesthetic Agents" section.
We want to provide a continuing education course. How do we get approval?
The commission doesn't approve or accredit continuing education courses. Law indicates that a credit hour for time actually spent in a course may not be less than 50 minutes. (WAC 246-12, Part 7) All courses must be designed to enhance the professional development of the dentist or improve the care provided to pa-tients. You may provide a document to the dentists attending your course, stating the name of the course, the date(s) taken, and the total number of continuing education hours completed. Other organizations, such as American Dental Association, accredit continuing education courses.
Does my study club have to be recognized by some entity to be considered acceptable?
No. Study club hours are an acceptable source of continuing education, provided the coursework is de-signed to enhance the professional knowledge and development of the practitioner or to enhance services provided to patients. We do recognize there are various types of study clubs and that some are more social in nature, while others are offered, authorized or accredited by various professional organizations.
One of the dental product vendors wants to come into my office and provide an "in service"
training on new dental products and materials, techniques and equipment. Is this acceptable
continuing education?
Yes. 50 minutes is a credit hour. You should get some type of documentation of the content of the training, the time spent, etc. for your records. We would consider this, per the rule, as training offered or authorized by an industry-recognized private organization or agency.
Explain the volunteer services category – what types of volunteer services are acceptable?
The commission recognizes the value of dentists providing volunteer services to targeted populations. The dentist and recipient both benefit. The commission determined that if the dentist gets some specialized train-ing or education, before providing services to a specific population, up to seven continuing education hours could be accumulated per reporting cycle. Examples of this type of continuing education would be working with the Special Olympics, working with the Smilemobile or ABCD programs, etc. Most of these programs provide training or orientation programs to dentists working in these settings. It isn't the intention for continu-ing education hours to be granted for routine pro-bono work that is not preceded by specialized education or instructional training.
May I get an extension of time to complete my continuing education?
Dentists may be excused from or granted an extension of continuing education requirements because of illness or other extenuating circumstances. Law requires continuing education to renew your annual li-cense. Any requests should be made several weeks before your renewal date to prevent delays in pro-cessing your license renewal. Requests must be in writing and sent to the Dental Quality Assurance Commission Program Manager by email or mail. You may not practice without an active license.
Washington State Dental Quality Assurance Commission P.O. Box 47852 Olympia, WA 98504
Scope of Practice
May dentists order lab tests for patients?
Yes. Dentists may order lab tests to diagnose and treat dentally related conditions.
May dentists prescribe Zyban for their patients to assist them in smoking cessation?
Yes. Dentists may prescribe smoking cessation products.
When dentists use Triazolam orally on dental patients, is it misleading to advertise as of-
fering sleep dentistry?
Yes. Triazolam is typically used as an anti-anxiety medication that may induce sleep in some patients but does not in all. The use of the term sleep dentistry implies that the patient will be asleep.
May dentists administer botox or dermafillers?
Dental Quality Assurance Commission has issued an interpretive statement about Dentist Scope of Practice – Use of Botulinum Toxin Injections/Dermal Fillers (PDF). The interpretive statement was ap-proved by the commission on July 26, 2013, and filed by the Office of the Code Reviser on August 20, 2013, as WSR 13-17-090.
The use of botulinum toxin injections or dermal fillers in the soft tissues throughout the face can be within the scope of practice of a dentist licensed under chapter 18.32.020 RCW when:
Used to treat functional or esthetic dental conditions and their direct esthetic consequences; and
The treating dentist has appropriate, verifiable training and experience.
The use of botulinum toxin injections or dermal fillers outside the treatment of dental-related conditions for purely cosmetic purposes is not within the scope of practice of dentists not specialty trained as an oral and maxillofacial surgeon. (RCW 18.32.020)
General
Where may I locate the dental laws?
You may find the laws relating to the practice of dentistry on our website. (RCW 18.32-Dentistry, RCW 18.260-Dental Professionals, RCW 18.350-Dental Anesthesia Assistants and WAC 246-817-Dental Quali-ty Assurance Commission)
Can a dentist charge a patient for a copy of the patient record?
Yes. RCW 70.02 governs medical records — healthcare information access and disclosure RCW 70.02.010, RCW 70.02.080, and WAC 246-08-400 provides how much can be charged.
Do all dental offices have to be paperless?
The Health Information Technology for Economic and Clinical Health (HITECH) Act requires that healthcare providers who accept Medicare and Medicaid patients/payments change from paper to elec-tronic patient records by 2015. This act is part of the American Recovery and Reinvestment Act (ARRA) of 2009 and has an effect on HIPAA as well. More information about this requirement is on HealthIT.gov.
How long must a dentist keep a record?
Five years according to the maintenance and retention of records law, WAC 246-817-310.
Does my prescription pad need two signature lines?
Yes. RCW 69.41.120 requires that all written prescriptions have two signature lines at opposite ends of the bottom of the form. Under the line at the right side shall be clearly printed the words “DISPENSE AS WRITTEN.” Under the line at the left side shall be clearly printed the words “SUBSTITUTION PERMIT-TED.” The practitioner must communicate instructions to the pharmacist by signing the appropriate line. For oral prescriptions, the practitioner or the practitioner’s agent must tell the pharmacist whether a thera-peutically equivalent generic drug may be substituted. This law includes prescriptions generated electroni-cally.
Do I need to keep a copy of written prescriptions I provide to a dental laboratory or to a
dental technician?
Yes. WAC 246-817-330 indicates an original prescription shall be referred to the dental laboratory or the dental technician and the carbon copy shall be retained for three years by the dentist in an orderly, acces-sible file and shall be readily available for inspection by the secretary or an authorized representative. WAC 246-817-340 requires an accurate record of any medication(s) prescribed or dispensed be clearly indicated on the patient history.
Do I have to post my license in my office?
Yes. Dentists, dental hygienists, expanded function dental auxiliaries, and dental assistants must place their license so it is visible to people receiving services in the premises. (WAC 246-817-301)
May I advertise through Groupon for my dental office?
Although dental laws do not specifically address Groupon or fee splitting, RCW 19.68 prohibits fee split-ting by healthcare providers. The American Dental Association (ADA) Principles of Ethics and Code of Professional Conducted states under 4.E. that “dentists shall not accept or tender ‘rebates’ or ‘split fees’” and that this applies to “business dealings between dentists and any third party, not just other dentists.” The commission is not aware of the specific contract terms and cannot make a comprehensive determi-nation as to whether Groupon contracts in general violate the anti-rebating statute. If you choose to use Groupon or other like service, it's encouraged that you seek independent counsel to evaluate the actual service contract and associated laws.
ALL of this information and MORE including a list of pharmacies, job board, and CE opportunities can be
found on our web site: www.spokanedentalsociety.org
The following Resolutions were accepted by the House
Audit HD-03-2014 Budget HD-04-2014 Dues HD-05-2014 Location of 2017 House HD-07-2014 Recent Graduate Dues HD-11-2014 Reduced Faculty Dues HD 14-2014 Continuing Dental Education in Washington state HD-16-2014 Honorary Membership for Stephen A. Hardymon HD-18-2014 Dental Benefits Legislation HD-09-2014 Dental Hygiene Board HD-10-2014 Definition of Dentistry HD-17-2014
The following Resolutions were rejected by the House
New Core Principles HD-15-2014
The following Resolutions were adopted with amendments
Legislative Agenda for 2015 HD-08-2014 HD-08A-2014 Adopted as Amended: WSDA Legislative Agenda for 2015 HD-08B-2014 Adopted as Amended: WSDA Legislative Agenda for 2015
Ethics/Jurisprudence Continuing Education for License Renewal Adopted as Amended: Ethics/Jurisprudence Continuing Education for License Renewal
The following Resolutions were referred to the Board
2014 Newly Elected Officers Newly Elected Board Members President Dr. Ted Baer Dr. Gregory Ogata Dr. Marissa Bender President-Elect Dr. Cindy Pauley Dr. Bryan Edgar Dr. James Reid Newly Elected to Committee on Budget & Finance Newly Elected ADA Delegates Dr. Nathan Russell Dr. Bruce Kinney Dr. Sammy Pak Newly Elected to Committee on Government Affairs Dr. Miki Suetsugu
